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儿童尿路感染(UTIs)的年龄分布及其严重程度分级(作者译)

[Age distribution of urinary tract infections (UTIs) and their severity grade in children (author's transl)].

作者信息

Elo J, Tallgren L G, Sarna S

出版信息

Monatsschr Kinderheilkd. 1982 Mar;130(3):139-42.

PMID:7087971
Abstract

Urinary tract infections in 339 children (77 boys and 262 girls) have been followed up. An excretory urography and a urethrocystography were done for all the children. The frequency of functional and anatomical abnormalities is given. The severity grade of UTI was determined according to the classification of Elo and Stenström. Almost all episodes of UTI among boys occurred during the first three years of life and were mostly severe. After the 3rd year of life the occurrence of UTI among the boys was sporadic. Among the girls the severe episodes dominates during the first three years of life, but after that the episodes tended to become milder in character becoming mostly asymptomatic. The peak of asymptomatic episodes among girls was at 10 years of age. After that age the number of episodes dropped abruptly. The classification used, based on the erythrocyte sedimentation rate (ESR) and on white blood cell count (WBC), has shown to be useful and makes it possible to differentiate between renal (pyelonephritic) episodes and the lower tract episodes.

摘要

对339名儿童(77名男孩和262名女孩)的尿路感染情况进行了随访。所有儿童均接受了排泄性尿路造影和尿道膀胱造影。给出了功能和解剖异常的发生率。根据Elo和Stenström的分类确定了UTI的严重程度等级。男孩中几乎所有的UTI发作都发生在生命的前三年,且大多较为严重。3岁以后,男孩中UTI的发生较为零星。在女孩中,严重发作在生命的前三年占主导,但之后发作往往趋于较轻,大多无症状。女孩无症状发作的高峰在10岁。该年龄之后,发作次数急剧下降。基于红细胞沉降率(ESR)和白细胞计数(WBC)的分类方法已证明是有用的,并且能够区分肾脏(肾盂肾炎)发作和下尿路发作。

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